November, 2010

Awake Breast Augmentation - fad or fantastic?

The New York Times not long ago published an article touting the benefits of breast augmentation while "awake" link here . The supposed benefit of this technique is that the patient, who has been given valium and other sedatives for the procedure, can participate in the sizing process during surgery, and help to select her implant size. The NYT article implies that anything other than a full general anesthetic could be considered "awake" - which is really quite misleading, as anyone who has expe...

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Thomas Fiala, MD 11/28/2010 Comments(0)

Capsular contracture and incision choice

As we've discussed before, capsular contracture around a breast implant is the #1 most frustrating problem of breast augmentation surgery. Despite a "textbook" surgical procedure and a perfect patient, hardness around the breast implants still can sometimes occur. Until recently though, we've always thought that the choice of the incision doesn't affect the results of the breast augmentation. Turns out that may not be the case. In this month's issue of Plastic and Reconstructive Surgery Journal,...

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Thomas Fiala, MD 11/25/2010 Comments(0)

Happy Thanksgiving!

Happy Thanksgiving to all our friends and their families. My wish for you - if you can get possibly together with your families, that you do so, and share some time together and give thanks for what we have, and for what we have been blessed with. And maybe have a little turkey and mashed potatoes at the same time! Best wishes to all! Dr. F....

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Thomas Fiala, MD 11/24/2010 Comments(1)

CNN covers breast reconstruction surgery story

CNN has done a nice human interest story on a lady who had bilateral breast reconstruction after mastectomy and radiation therapy using a fairly new microsurgical technique called the S-GAP flap. The link is here . It's good to get the word out about these newer options for breast cancer patients. There are several important "teaching points" about this story: 1 Even today, many breast cancer patients don't realize that breast reconstruction is possible and available to them. A 2009 survey from ...

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Thomas Fiala, MD 11/23/2010 Comments(0)

Darvon & Darvocet to be withdrawn from U.S. market

Source: WebMD The US Food and Drug Administration FDA has asked that propoxyphene, brand names Darvon and Darvocet be removed from the US market. The decision will also affect generic manufacturers and the makers of propoxyphene-containing products. At a press conference last week, Dr Gerald Dal Pan, director of the FDA's Office of Surveillance and Epidemiology, said "For the first time, we now have data showing that the standard therapeutic dose of propoxyphene can be harmful to the heart." Sid...

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Thomas Fiala, MD 11/22/2010 Comments(0)

Fat (cells) good for the heart?

You've heard about stem-cell enhanced fat grafts for rejuvenating the face and the hands...but here's a new & very cool idea: stem cells to fix an ailing heart . Here's the concept: Do some liposuction, and isolate out the small percentage of fat-derived stem cells from the rest of the fat enzymatically. Take these stem cells, and inject them carefully! into the heart muscle. The stem-cells then go on to repair the damaged heart muscle, hopefully helping the heart function better, and improv...

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Thomas Fiala, MD 11/18/2010 Comments(1)

Better pre-op meds for less post-op pain & nausea

Ask anybody what they worry about when they are thinking of having surgery, and I'm willing to bet that answers like "I'm worried that I'll be in pain or be nauseated" are near the top of the list. What if I told you that, with improved medications prior to surgery, we could make this a lot better than traditional methods? Interested? You betcha! Anesthesiologists and surgeons have been doing a lot of research on this area, to determine the best types of drugs to reduce post-op pain. And the ans...

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Thomas Fiala, MD 11/16/2010 Comments(0)

Collagen fillers discontinued - no more Zyplast & Zyderm

While it seems hard to imagine today, back before the early 1980's, plastic surgeons didn't really have any reliable injectable products to use for wrinkle correction or lip enhancement. When Zyplast and Zyderm arrived in the early 80's, a new generation of of non-surgical corrections via injectable fillers became possible. These bovine-collagen fillers weren't by any means perfect - they required skin testing, had a potential for allergic reactions, and didn't last all that long. Still, they ca...

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Thomas Fiala, MD 11/11/2010 Comments(0)

Updates & announcements

1. The new e-book "Plastic surgery 101: What to know before your consultation" is now completed and available. Yay! It will be a free download for patients that schedule a consultation, and I hope everyone will find this guidebook to be educational in nature. If our established patients would also like to get a copy, just send us an email, and we'll be delighted to send it to you. Feel free to share it with your friends, too. 2. We're also working on an updated version of our iPhone app "Plastic...

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Thomas Fiala, MD 11/10/2010 Comments(0)

The non-surgical nose job

Do you have a fairly minor shape problem with your nose, but don't care for the idea of a complex rhinoplasty procedure? Well, here's an option for you to correct it, without the fuss of surgery. Called a "non-surgical rhinoplasty", the technique essentially uses filler agents like Restylane, Juvederm or Radiesse to disguise the less desirable contours of the nose, and enhance the good parts. We've been doing this at our office for several years, and it works quite nicely for selected patients. ...

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Thomas Fiala, MD 11/9/2010 Comments(1)

OT: Really, Officer - it's the botox!

This report, from my hometown of Vancouver, Canada, has me wondering if the place has suddenly turned into a northern version of L.A. Here's the story: a woman was pulled over by the police for a possible D.U.I., as she had been driving only 30 mph on the freeway and had nearly collided with two cars. While she admitted she had been drinking, she couldn't or wouldn't perform a breathalyzer test for the police officer. Her excuse - recent Botox treatments around the mouth made it impossible for h...

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Thomas Fiala, MD 11/8/2010 Comments(0)

Could an asthma medication be the next fat-melter?

Answer: Maybe. Lithera, Inc. - a privately held pharmaceutical research group, recently presented some exciting results of a randomized, double-blinded study of their new injectable lipolysis drug, called "LIPO102" at the ASDS meeting. In the study, volunteers were injected weekly in 22 locations in the abdomen and flanks with the drug, over 8 weeks. On average, the study group lost about 1/2" more of abdominal circumference than the control group did, without diet or exercise. Computerized 3-D ...

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Thomas Fiala, MD 11/4/2010 Comments(0)

"Botox Bandit" gets 5 years of jail time

This week in Orange County, California, the "Botox Bandit" was sentenced to five years in prison for committing multiple burglaries, fraud and identity theft against several Orange County businesses. The California woman got her nickname after using fraudulent checks to pay for more than $3,000 worth of Botox treatments, in addition to a string of other crimes. Melissa Chesney, 46, pleaded guilty to 21 felony counts, including nine counts of burglary, five counts of identity theft, four counts o...

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Thomas Fiala, MD 11/1/2010 Comments(0)

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